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European Union Directives Portfolio

Guidance on meeting the requirements for the European Union Directives

EU Directives 77/453/EEC and 89/595/EEC

BSc (Hons) Adult NursingAd Dip Adult Nursing

Meeting the requirements for the European Union Directives

EU Directives 77/453/EEC and 89/595/EEC

All Adult branch pre-registration nursing students are required to evidence how they have met the EU Directives by the end of the programme. This means that you must engage in learning activities specifically related to caring for clients and their families from the following groups:

Mental Health and Psychiatry Maternity Care Childcare and paediatrics Learning Disabilities (BU requirement)

In order to register at the end of the programme, you must demonstrate key learning in relation to theory and practice for each of the above specialties. To do this you must complete the activities in the tables on the following pages. This work must be handed in for marking by your Academic Adviser and will be called your European Union Directives Portfolio.

Your European Union Directives Portfolio must be completed over the three years of your programme and you must hand in your work each year. Your Academic Adviser will also be able to review your work formatively during years 1 and 2 of the programme and will be able to advise you on your progress.

Evidence that you have met all EU Directives in relation to both theory and practice must be completed and submitted as a summative assessment. Please ensure you include a separate assignment feedback form. This will be marked on a pass/fail basis.

TheoryYou are required to engage in and complete specific learning activities in relation to Mental Health, Maternity care, Childcare and Learning Disabilities DURING EACH YEAR OF THE PROGRAMME. You will find a series of tasks and questions on the pages that follow that are specific to these client groups. Please note that you are required to complete an activity for EACH speciality EACH year of the programme.

PracticeDuring your placements you will encounter a wide range of clients from many specialities such as Older people, Oncology, Surgical and Medical clients and ITU. In addition, to meet the EU Directives, it is essential that you seek out learning opportunities in relation to Mental Health, Maternity care, Childcare and Learning Disabilities. Whilst it is not possible for you to be allocated to placements designated to each of these groups, you will come into contact with clients and their families in adult settings who also require Childcare, Maternity care or who have Mental Health issues or Learning Disabilities. You are required to reflect upon such encounters and submit as evidence at key points during your programme as identified on the page 2, Table 1. Summary of evidence to be submitted by Adult branch students to meet EU Directives.

EU directives – Adult Nursing 0

Table 1. Summary of evidence to be submitted by Adult branch students to meet EU Directives

Mark sheetTheory Pass/Fail Practice Pass/Fail

Mental Health and psychiatry Year 1

Dementia Care Reflection


a)Anxietyb)Depression Not required


The Ten Essential Shared Capabilities - A Framework for the whole of the Mental Health Workforce

Not required

Academic Adviser signature and dateTheory Pass/Fail Practice Pass/Fail

Maternity care Year 1

Role of the midwife in ante natal care

Not required


Role of the midwife in post natal care and parenting Skills

Reflection on caring for a client requiring Maternity care(NB. may be done in either Year 2 or Year 3)


Promoting Health during pregnancy


Childcare and paediatrics Year 1

Every Child Matters Not required


Recognising signs of abuse Communicating with children

(NB. may be done in either

Year 2 or Year 3)


Children Act 2004


Learning Disabilities Year 1

Michael Report Not required


Not required Communicating with clients with Learning Disabilities or their families(NB. may be done in either Year 2 or

Year 3)


Not required

Academic Adviser signature and date


Submission of your European Union Directives Portfolio

YEAR ONE AND TWO:

This is an ONGOING piece of work which must be submitted FORMATIVELY, (see your assignment schedule for the date) in both Years 1 and 2 of your programme. Your Tutor will then be able to give you feedback and advise you on your progress in preparation for the final submission in Year 3.

YEAR THREE:

The final, completed portfolio must be submitted by Easter of Year 3 of the programme for SUMMATIVE assessment. Please refer to your Assignment Schedule for the exact date. Please include an Assignment Feedback form and place it in the assignment box as per assignment submission guidelines.

Please be aware that you cannot complete the programme and register as a nurse without passing this work.


Meeting the EU Directives for Mental Health and psychiatryLearning OpportunitiesPeople with Mental Health problems and needs can be found in all societies throughout the world. In the UK people with Mental Health problems mainly live in their family home or their own chosen form of accommodation. Most areas in the United Kingdom also contain a range of supported, sheltered, and cluster accommodation for people with Mental Health problems. Care homes, Community hospitals, day centres, drop-in centres, rehabilitation facilities, and social centres, often cater in some way for patients with specific Mental Health needs.

Theory (Learning activity to be completed and submitted during Years 1, 2 and 3)During your programme you will engage in learning which will help you to develop an understanding of what Mental Health and illness means. You will explore how nurses can care for clients with dementia (Year 1) and how nurses can recognize clients who may be anxious or depressed (Year 2). In Year 3 you will be required to explore a Department of Health Report and how your future practice may improve as a result of this new learning. Practice (Reflection to be submitted during Year 1, CFP)During the Common Foundation Programme (CFP), Year 1, you are required to seek out a learning opportunity to explore how to care for a client or clients with dementia. Using the form on the next page, you must reflect on this experience and identify your key learning points. You must explain how your future nursing practice will change as a result of this experience.

You are encouraged to seek help and support from your mentor before you start this activity and it vital that you maintain confidentiality throughout.


In order to meet the EU Directives in Mental Health and psychiatry you must successfully complete the following work during Year 1 and 2 and submit formatively to your Academic Adviser by Easter each year. The final summative version must be submitted in Year 3 as per your Assignment Schedule and in accordance with the Assignment submission procedures.

Mental Health TheoryRead the following DoH Strategy and summarize in your own words (250 words).

DoH 2009 Living well with dementia: a National Dementia Strategy http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_094058


http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_094058


Mental Health Practice Year 1a) Reflect on how you have cared for a client with dementia in practice (200 words)

b) Describe how your future nursing practice will change as a result of this experience (100 words).


Mental Health Theory Year 2Using references to support your work describe how you might recognize that a person is:

a) anxious (100 words)

b) depressed (100 words)

References:


Mental Health Theory Year 3Locate and read the following paper and select three key areas. Explore how your practice may benefit in relation to these areas when caring for clients/carers who are mentally unwell in the practice setting (300 words).

Department of Health, 2004. The Ten Essential Shared Capabilities - A Framework for the whole of the Mental Health Workforce. Department of Health.


Unit Links

Year 1 unitsEssentials of NursingPsychology of Health and IllnessSociology of Health and IllnessCommunication and Group WorkingPractice Portfolio 1

Year 2 unitsPromoting Safety in Nursing PracticePromoting Health and WellbeingVulnerabilityPractice Portfolio 2

Year 3 unitsPreparing for the role of Registered NurseValues affecting Nursing PracticePractice Portfolio 3

Reading listArnold, M. and Mitchell, T. 2008. Nurses’ perceptions of care received by older people with mental health issues in an acute hospital environment. Nursing Older People, 20 (10), 28-34.

Barker, P.J. 2004. Assessment in Psychiatric and Mental Health Nursing. Cheltenham, Nelson Thornes.

DoH, 2005. Mental Capacity Act. Department of Health.

Law, E. 2008. Delirium and dementia in acute hospitals: assessing the impact of RMN input. Nursing Older People, 20 (9) 35-39.Valuing opinion

NIMHE 2004. The Ten Essential Shared Capabilities. A Framework for the Whole of the Mental Health Workforce. London: HMSO. e-bookNorman I., Ryrie I. (eds) 2004. The Art and Science of Mental Health Nursing, A textbook of principles and practice. Berkshire; Oxford University Press


Meeting the EU Directives for Maternity care Learning OpportunitiesYou may encounter, women and their families in a range of acute and primary care settings who may have specific maternal health needs during your Adult branch nursing programme. For example an adolescent girl admitted to a surgical ward with a suspected appendicitis who is diagnosed with an ectopic pregnancy. You may go on a school visit with a Child Health nurse to counsel and support a teenage mum. You may encounter a woman referred to A&E with a miscarriage/ spontaneous abortion. At any one time patients that you are caring for may be attended and visited by a relative that is pregnant.

The potential for you to come into contact with pregnant women, or women who have recently given birth, is great. You must therefore be mindful of the particular needs of such women and the possible concerns they may have for themselves and/or their babies as related to the setting in which you find yourself.

During your Primary Care placement in year 2 of the programme, you will have the opportunity to work along side Health Visitors and Practice Nurses and community Midwives. You may attend an Ante Natal clinic or class and a possibly a baby clinic.

Theory (Learning activities to be completed and submitted during Years 1, 2 and 3)During the programme you must ensure that you engage in learning about clients who need Maternity care. In Year 1 you will learn about foetal development in the Foundation Anatomy & Physiology unit. You are also required to explore the role of the midwife in providing ante natal care (see page 10). In Year 2 you will explore the role of the midwife in providing post natal care including parenting skills and submit your findings. You will explore promoting health during pregnancy and submit your findings towards the end of Year 3.

Practice (Reflection to be submitted during Years 2 or 3)During your branch programme (ideally during your Primary care placement) you are required to seek out a learning opportunity which involves caring for a client who needs some form of maternity care. This may include their partner or family.

You must reflect on this learning and say how your future nursing practice may change as a result.



In order to meet the EU Directives in Maternity care you must successfully complete the following work during Year 1 and 2 and submit formatively to your Academic Adviser each year. The final summative version must be submitted in Year 3 as per your Assignment Schedule and in accordance with the Assignment submission procedures.

Maternity care Theory year 1Explore and the role of the midwife focusing on ANTE NATAL CARE. Briefly describe your findings using supporting references (300 words).

References:


Maternity care Theory Year 2Explore and the role of the midwife focusing on POST NATAL CARE. Briefly describe your findings using supporting references (300 words). .

Reference your articles below:


Maternity care Practice Year 2a) Reflect on how you have cared for a client requiring Maternity care in practice (200 words).


Maternity care Theory Year 3You are required to access and read 2 articles which explore promoting health during pregnancy. You will need to chose a topic (for example smoking or diet) find two journal articles (should be current literature ie published in the last five years) and summarize your findings from reading the articles below in no more than 300 words.

(You should include the references of the two articles you have found).

References:


Unit Links Year 1 unitsEssentials of NursingPsychology of Health and IllnessSociology of Health and IllnessCommunication and Group WorkingFoundations of Anatomy and PhysiologyPractice Portfolio 1

Year 2 unitsPromoting Safety in Nursing PracticePromoting Health and WellbeingVulnerabilityPractice Portfolio 2


Journals: Journal of Neonatal NursingMaternal and Child HealthNeonatal Network


Meeting the EU Directives for Child care and paediatrics

Learning OpportunitiesYou may encounter children, young people and families in a range of acute and primary care settings during the course of your experience, and you should be mindful of their specific needs.

For example a child may be brought to say goodbye to a grandparent that is about to die. A young child may attend the ward to visit their mother who requires surgery. You may be required to care for a child in A&E as a parent receives treatment.

During your Primary care placement in year 2 of the programme, you will have the opportunity to work along side Health Visitors and Practice Nurses while looking after children and teenagers.

Theory (Learning activity to be completed and submitted during Years 1, 2 and 3)Each year of the programme you are required to explore important safety issues relating to caring for children. Details of each learning activity can be found on the following pages.

Practice (Reflection to be submitted during Years 2 or 3)During your branch programme you are required to seek out a learning opportunity which involves caring for a child or young person. You must submit a reflection of this experience exploring how you communicated with them.




In order to meet the EU Directives in Childcare and paediatrics you must successfully complete the following work during Year 1 and 2 and submit formatively each year. The final summative version must be submitted in Year 3 as per your Assignment Schedule and in accordance with the Assignment submission procedures.

Child care Theory Year 1Access the report ‘Healthy lives, brighter futures – The strategy for children and young people’s health’ via the following website:


Summarise the aim and purpose of the report below in no more than 250 words.

(NB this activity was updated in January 2012. If you have summarized the Every Child Matters report in this section you do not need to undertake a summary of Healthy lives, brighter futures report)





Child care Theory Year 2

Explore the role of the adult nurse in recognizing child abuse and list your findings below. Include references please.

References:


Child care Theory Year 3

Briefly describe the nature and purpose of the Children Act 2004 (250 word maximum).

References:


Child care Practice Years 2 or 3

Using references to support your findings describe how you would communicate with a child or young person in practice (250 words)

References:


Unit Links Year 1 unitsEssentials of NursingPsychology of Health and IllnessSociology of Health and IllnessCommunication and Group WorkingFoundations of Anatomy and PhysiologyPractice Portfolio 1

Year 2 unitsPromoting Safety in Nursing PracticePromoting Health and WellbeingPractice Portfolio 2


Reading ListDepartment of Health 2003 What to do if you’re worried a child is being abused London The Stationary Office

Moules, T. and Ramsey, J., 2008. The Textbook of Children’s Nursing. Oxford: Blackwell Publishing. Maill, L. Rudolf, M. C. J. Levene, M. I., 2007. Paediatrics at a Glance. 2nd ed. Oxford: Blackwell Publishing.

Royal College of Nursing, 2007. Safeguarding Children-: every nurse’s responsibility. London: RCN.

Royal College of Nursing, 2004. Children and young people’s Mental Health- every nurse’s business: every nurse’s business. London: RCN.

Journals: Journal of Neonatal NursingMaternal and Child HealthNeonatal NetworkPaediatric Nursing


Meeting the needs of clients with Learning Disabilities/Difficulties

Learning Opportunities:People with Learning Disabilities/Difficulties are cared for a variety of health care settings. These include Primary, Secondary and Acute care settings. For example, during placement in hospitals, people with Learning Disabilities/Difficulties may be admitted for inpatient treatment to medical or surgical wards.

We should not forget that people with Learning Disabilities/Difficulties may live in our own roads and some students will have children, brothers, sisters, etc who have a Learning Disability.

What are your experiences of caring for clients with Learning Disabilities/Difficulties and their families and carers?

Read the guidance given by the Department of Health on caring for clients with Learning Difficulties. It can be accessed at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_081328

The Sir Jonathan Michael report is another current and relevant document that you must know about. The full report can be accessed at:http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_099255

Theory (Learning activity to be completed and submitted during Year 1,)During Year 1 of your programme you are required to explore important issues relating to caring for clients with Learning Disabilities and/or their families. Details of each learning activity can be found on the following pages.

Practice (Reflection to be submitted during Years 2 or 3)During your branch programme you are required to seek out a learning opportunity which involves caring for clients with Learning Disabilities and/or their families. You must submit a reflection of this experience exploring how you communicated with them.








In order to meet the Bournemouth University requirements in Learning Disabilities you must successfully complete the following work during Year 1 and 2 and submit formatively each year. The final summative version must be submitted in Year 3 as per your Assignment Schedule and in accordance with the Assignment submission procedures.

Learning Disabilities Theory Year 1

Briefly describe the nature and purpose of the Healthcare for All: Report of the independent inquiry into access to healthcare for people with learning disabilities. Michael (2008) (250 words).

References:Michael, J. 2008. Healthcare for All: Report of the independent inquiry into access to healthcare for people with learning disabilities. Department of Health.


Learning Disabilities Practice Years 2 or 3

Using references to support your findings describe how you would communicate with a client with Learning Disabilities or their family in practice (250 words)

References:


Frequently asked questions

Why do I have to complete a European Union Directives Portfolio?As the United Kingdom is part of the European Union, we are required by law to meet certain rules. There are a wide range of such laws (European Union Directives) which are applicable to all work environments in Europe. The specific ones that affect nursing are addressed within this piece of work (EU Directives 77/453/EEC and 89/595/EEC). The NMC (2004) requires that you therefore engage in learning about caring for people with Mental Health issues, Maternity Care clients and children in addition to adults.

When and how do I hand it in?You must hand in your European Union Directives Portfolio FORMATIVELY at or around the ends of year one and year two (see assignment schedule for dates). Your Academic advisor will give you feedback on the sections you have completed and return it to you.

You must hand in your fully completed European Union Directives Portfolio SUMMATIVELY on the date specified in your year three assignment schedule. You need to include a completed Assignment Feedback Form.

How do I know what to do and when?If you look through the portfolio it suggests what sections you should undertake in each year. We do this so you can be working on the portfolio throughout your three years on the course.

What happens when I hand in the EU portfolio?At the end of years one and two your Academic Adviser will read and give you feedback on the sections you have completed mark your work and give you feedback.

At the end of year three your academic advisor will have to read through your whole EU portfolio and confirm that you have completed all the sections. If any sections are incomplete or do not meet the requirements then it will be noted at the exam board that you have not met the EU directive requirement.

What happens if I do not meet the EU directive requirement?Completing the EU directive is an essential part of the course. If you do not complete all sections of your EU portfolio you will not have completed the course and so the exam board would not be able to recommend your academic and professional award until you have met the EU directive.

What happens if I can’t find a learning opportunity in practice which involves caring for a client from each of the specified groups?It is YOUR responsibility to seek such a learning opportunity out and we have given you the EU portfolio in year one so that you have a good length of time and a number of practice placements to seek out situations where you are caring for children, people with mental health needs, pregnant women and individuals with a learning disability. Your Academic Adviser will be able to


help and advise you. Plan your work in advance and avoid leaving it until the last minute.

Who will help and advise me?The best person to support you in this work is your Academic Adviser. Be sure to seek agreement from your mentor prior to engaging in learning opportunities that take you outside your allocated placement area.


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